Jason Wibbenmeyer Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011000732 Issued in MO

Legal business name

JASON WIBBENMEYER CHIROPRACTIC, LLC

Doing business as

Innovative Health Partners

Practice address

49 N Gore Ave
Webster Groves, MO 63119-2357

Phone

(314) 219-1888

NPI assigned

Jun 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Stark

Title

Office Manager

Phone

(314) 520-5566

Specialties & licenses 1

Addresses

Other names 1

• Innovative Health Partners Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alethea Eller, D.C.

  • Chiropractor
  • Webster Groves, MO
  • NPI 1346360062
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1770996258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 N GORE AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192357",
            "telephone_number": "314-219-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N GORE AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192357",
            "telephone_number": "314-219-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON WIBBENMEYER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-520-5566"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011000732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quiana Jackson, FNP
• Jack Jacobsen, MSW, LCSW
• Lisa Hope Jain
• Crista L Jamous, FNP
• Edward Stanley Jarka, OD
• Katelyn Jensen, MSW, LCSW
• Erica Monique Johnson
• Kelly D Jones, PLPC
• Susan Jones, MA-CCC-SP
• Lauren Ann Kavanaugh, DENTAL HYGIENE ASSIS

• Chiropractor in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.